Referrals

Select your referral type below.

Acute Catastrophic and Complex Risk Transfer Cases

To refer an Acute catastrophic or complex injury, please submit a completed digital Acute Catastrophic and Complex Risk Transfer Referral Form.
Injury types include:

  • Traumatic Brain Injury
  • Burns
  • Spinal Cord Injury
  • Severe Extremity Injury
  • Wound Management

 

Imaging and Diagnostic Scheduling Referral Form

For access to our national network of quality imaging providers and to schedule imaging services please submit a completed digital imaging scheduling referral form.

 

Carisk Intelligent Clearinghouse Provider Registration Form

If you are a provider who would like to learn more about how Carisk Intelligent Clearinghouse electronic billing capabilities can help streamline your revenue cycle management, please submit a completed CiC registration form.

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